Summary
Definition
History and exam
Key diagnostic factors
- presencia de factores de riesgo
- inflamación de los tejidos blandos
Other diagnostic factors
- múltiples fístulas
- pigmentación de la piel
- dificultad al masticar
- síntomas constitucionales
- cambio en el ritmo intestinal
- molestias abdominales
- náuseas y vómitos
- sensación de masa abdominal
- secreción o sangrado vaginal
- tos seca o productiva
- esputo con sangre
- disnea
- dolor torácico
- defectos neurológicos focales
Risk factors
- sexo masculino
- lesión o inflamación de la cavidad oral
- diabetes mellitus
- inmunosupresión
- daño tisular local causado por neoplasia, traumatismo o irradiación
- dispositivo intrauterino
- aspiración
Diagnostic investigations
1st investigations to order
- cultivo de pus o tejido afectado
- histología del tejido afectado
- inmunohistología
- hemograma completo (HC)
- tomografía computarizada (TC) o resonancia magnética (IRM) de abdomen
Emerging tests
- reacción en cadena de la polimerasa (PCR) del tejido afectado
Treatment algorithm
no alérgico a la penicilina
paciente alérgico a la penicilina
Contributors
Authors
Thomas Schneider, MD, PhD
Professor
Medical Department I
Charité - University Medicine Berlin
CBF
Berlin
Germany
Disclosures
TS is an author of a number of references cited in this topic.
Verena Moos, PhD
Scientist
Medical Department I
Charité - University Medicine Berlin
CBF
Berlin
Germany
Disclosures
VM is an author of a number of references cited in this topic.
Peer reviewers
Johannes R. Bogner, MD
Professor of Internal Medicine
Department of Infectious Diseases
Medical Polyclinic
University Hospital Munich
Munich
Germany
Disclosures
JRB declares that he has no competing interests.
Chris Huston, MD
Assistant Professor of Medicine
Division of Infectious Diseases
University of Vermont
Burlington
VT
Disclosures
CH declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Smego RA Jr, Foglia G. Actinomycosis. Clin Infect Dis. 1998 Jun;26(6):1255-61. Abstract
Acevedo F, Baudrand R, Letelier LM, et al. Actinomycosis: a great pretender: case reports of unusual presentations and a review of the literature. Int J Infect Dis. 2008 Jul;12(4):358-62. Abstract
Wong VK, Turmezei TD, Weston VC. Actinomycosis. BMJ. 2011 Oct 11;343:d6099. Abstract
Martin MV. The use of oral amoxycillin for the treatment of actinomycosis: a clinical and in vitro study. Br Dent J. 1984 Apr 7;156(7):252-4. Abstract
Spilsbury BW, Johnstone FR. The clinical course of actinomycotic infections: a report of 14 cases. Can J Surg. 1962 Jan;5:33-48. Abstract
Sudhakar SS, Ross JJ. Short-term treatment of actinomycosis: two cases and a review. Clin Infect Dis. 2004 Feb 1;38(3):444-7.Full text Abstract
Bennhoff DF. Actinomycosis: diagnostic and therapeutic considerations and a review of 32 cases. Laryngoscope. 1984 Sep;94(9):1198-217. Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Absceso abdominal
- Tumor de ovario y oviductal
- Apendicitis
More Differentials
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